Provider Demographics
NPI:1295446409
Name:DMD NON EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:DMD NON EMERGENCY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-626-0762
Mailing Address - Street 1:9608 W SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-8586
Mailing Address - Country:US
Mailing Address - Phone:623-227-9524
Mailing Address - Fax:
Practice Address - Street 1:9608 W SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-8586
Practice Address - Country:US
Practice Address - Phone:623-227-9524
Practice Address - Fax:480-278-7184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)